Search › West Virginia › 164W00000X
Derrick Brennan
NPI 1376229724 · on the registry since 2023
Practice
- Address
- 4825 Maccorkle Ave Sw Ste F
Charleston, WV 25309 - Phone
- (304) 346-9667
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia